Executive Order Accelerates Mandatory HIV Testing For All Citizens

President Barak Obama posted an executive order yesterday which appears to mandate HIV testing for “all individuals ages 15 to 65 years.”
The HIV Care Continuum Initiative claims responsibility for recent successes in the study of HIV but says “further Federal action is appropriate in response to these new developments.”
That federal action appears to be in the form of mandated HIV testing, and Obama seems to suggest that HIV testing will be free under the Affordable Care Act.
The Administration says mandatory testing is warranted because early detection is helpful to fighting HIV and, according to the executive order, twenty percent of people with HIV remain undiagnosed.

It doesn’t directly say that all citizens will be rounded up and forced to get HIV tests, rather that clinics will be required to test for HIV as part of routine testing.
Read the full Executive Order HIV Care Continuum Initiative below:


– – – – – – –


By the authority vested in me as President by the Constitution
and the laws of the United States of America, and in order to further strengthen
the capacity of the Federal Government to effectively respond to the ongoing
domestic HIV epidemic, it is hereby ordered as follows:

Section 1.
Policy. Addressing the domestic HIV epidemic is a priority of my Administration.
In 2010, the White House released the first comprehensive National HIV/AIDS
Strategy (Strategy), setting quantitative goals for reducing new HIV infections,
improving health outcomes for people living with HIV, and reducing HIV-related
health disparities. The Strategy will continue to serve as the blueprint for our
national response to the domestic epidemic. It has increased coordination,
collaboration, and accountability across executive departments and agencies
(agencies) with regard to addressing the epidemic. It has also focused our
Nation’s collective efforts on increasing the use of evidence-based approaches
to prevention and care among populations and in regions where HIV is most

Since the release of the Strategy, additional scientific
discoveries have greatly enhanced our understanding of how to prevent and treat
HIV. Accordingly, further Federal action is appropriate in response to these new
developments. For example, a breakthrough research trial supported by the
National Institutes of Health showed that initiating HIV treatment when the
immune system was relatively healthy reduced HIV transmission by 96 percent. In
addition, evidence suggests that early treatment may reduce HIV-related
complications. These findings highlight the importance of prompt HIV
diagnosis, and because of recent advances in HIV testing technology, HIV can be
detected sooner and more rapidly than ever before.

Based on these and
other data, recommendations for HIV testing and treatment have changed. The U.S.
Preventive Services Task Force now recommends that clinicians screen all
individuals ages 15 to 65 years for HIV
, and the Department of Health and
Human Services Guidelines for Use of Antiretroviral Agents now recommends
offering treatment to all adolescents and adults diagnosed with HIV.

Furthermore, ongoing implementation of the Affordable Care Act provides a
historic opportunity for Americans to access affordable, quality health care.
The Act is expanding access to recommended preventive services with no
out-of-pocket costs, including HIV testing
, and, beginning in 2014,
insurance companies will not be able to deny coverage based on pre-existing
conditions, including HIV. Starting October 1, 2013, Americans can select the
coverage that best suits them through the new Health Insurance Marketplace, and
coverage will begin January 1, 2014.

Despite progress in combating HIV,
important work remains. Since the publication of the Strategy, data released by
the Centers for Disease Control and Prevention show that there are significant
gaps along the HIV care continuum — the sequential stages of care from being
diagnosed to receiving optimal treatment. Nearly one-fifth of the estimated
1.1 million people living with HIV in the United States are undiagnosed
one-third are not linked to medical care; nearly two-thirds are not engaged in
ongoing care; and only one-quarter have the virus effectively controlled, which
is necessary to maintain long-term health and reduce risk of transmission to

In light of these data, we must further clarify and focus our
national efforts to prevent and treat HIV infection. It is the policy of my
Administration that agencies implementing the Strategy prioritize addressing the
continuum of HIV care, including by accelerating efforts to increase HIV
testing, services, and treatment along the continuum. This acceleration will
enable us to meet the goals of the Strategy and move closer to an AIDS-free

Sec. 2. Establishment of the HIV Care Continuum Initiative.
There is established the HIV Care Continuum Initiative (Initiative), to be
overseen by the Director of the Office of National AIDS Policy. The Initiative
will mobilize and coordinate Federal efforts in response to recent advances
regarding how to prevent and treat HIV infection. The Initiative will support
further integration of HIV prevention and care efforts; promote expansion of
successful HIV testing and service delivery models; encourage innovative
approaches to addressing barriers to accessing testing and treatment; and ensure
that Federal resources are appropriately focused on implementing evidence-based
interventions that improve outcomes along the HIV care continuum.

Sec. 3.
Establishment of the HIV Care Continuum Working Group. There is established the
HIV Care Continuum Working Group (Working Group) to support the Initiative. The
Working Group shall coordinate Federal efforts to improve outcomes nationally
across the HIV care continuum.

(a) Membership. The Working Group shall be
co-chaired by the Director of the Office of National AIDS Policy and the
Secretary of Health and Human Services or designee (Co-Chairs). In addition to
the Co-Chairs, the Working Group shall consist of representatives

(i) the Department of Justice;

(ii) the Department of

(iii) the Department of Health and Human Services;

(iv) the
Department of Housing and Urban Development;

(v) the Department of
Veterans Affairs;

(vi) the Office of Management and Budget;

(vii) other agencies and offices, as designated by the

(b) Consultation. The Working Group shall consult with the
Presidential Advisory Council on HIV/AIDS, as appropriate.

(c) Functions.
As part of the Initiative, the Working Group shall:

request and review information from agencies describing efforts to improve
testing, care, and treatment outcomes, and determine if there is appropriate
emphasis on addressing the HIV care continuum in relation to other work
concerning the domestic epidemic;

(ii) review research on improving
outcomes along the HIV care continuum;

(iii) obtain input from Federal
grantees, affected communities, and other stakeholders to inform strategies to
improve outcomes along the HIV care continuum;

(iv) identify potential
impediments to improving outcomes along the HIV care continuum, including for
populations at greatest risk for HIV infection, based on the efforts undertaken
pursuant to paragraphs (i), (ii), and (iii) of this subsection;

identify opportunities to address issues identified pursuant to paragraph (iv)
of this subsection, and thereby improve outcomes along the HIV care

(vi) recommend ways to integrate efforts to improve outcomes
along the HIV care continuum with other evidence-based strategies to combat HIV;

(vii) specify how to better align and coordinate Federal efforts,
both within and across agencies, to improve outcomes along the HIV care

(d) Reporting.

(i) Within 180 days of the date of this
order, the Working Group shall provide recommendations to the President on
actions that agencies can take to improve outcomes along the HIV care

(ii) Thereafter, the Director of the Office of National AIDS
Policy shall include, as part of the annual report to the President pursuant to
section 1(b) of my memorandum of July 13, 2010 (Implementation of the National
HIV/AIDS Strategy), a report prepared by the Working Group

Government-wide progress in implementing this order. This report shall
include a quantification of progress made in improving outcomes along the HIV
care continuum.

Sec. 4. General Provisions. (a) Nothing in this order
shall be construed to impair or otherwise affect:

(i) the authority
granted by law to an executive department, agency, or the head thereof;

(ii) the functions of the Director of the Office of Management and
Budget relating to budgetary, administrative, or legislative

(b) This order shall be implemented consistent with applicable
law and subject to the availability of appropriations.

(c) This order is
not intended to, and does not, create any right or benefit, substantive or
procedural, enforceable at law or in equity by any party against the United
States, its departments, agencies, or entities, its officers, employees, or
agents, or any other person.


Source: http://www.whitehouse.gov/the-press-office/2013/07/15/executive-order-hiv-care-continuum-initiative

2 thoughts on “Executive Order Accelerates Mandatory HIV Testing For All Citizens

  1. This is not about fighting HIV, but instead, a way for our evil dictator to collect a DNA sample on every American citizen.

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